recovery coach webinar slides final · 2019-08-19 · 4/30/14 4 recovery coach role motivator &...

16
4/30/14 1 UNDERSTANDING THE ROLE OF PEER RECOVERY COACHES IN THE ADDICTION PROFESSION Presented by Phil Valentine May 1, 2014 Download the PowerPoint slides & access CE quiz here: www.naadac.org/understandingtheroleofpeerrecoverycoachesintheaddictionprofession A presenta*on by the NAADAC, the Associa*on for Addic*on Professionals Misti Storie, MS, NCC WEBINAR ORGANIZER Director of Training & Professional Development NAADAC, the Associa/on for Addic/on Professionals USING GOTOWEBINAR Control Panel Asking Ques:ons PowerPoint Slides Polling Ques:ons Audio (phone preferred) www.naadac.org/ understandingtheroleofpeerrecovery coachesintheaddic/onprofession A presenta*on by NAADAC, the Associa*on for Addic*on Professionals A COMPONENT OF THE RECOVERY TO PRACTICE (RTP) INITIATIVE www.naadac.org/recovery OBTAINING CE CREDIT o The educa/on delivered in this webinar is FREE to all professionals. o 1.5 CEs are FREE to NAADAC members who aFend this webinar. Non members of NAADAC receive 1.5 CEs for $20. o If you wish to receive CE credit, you MUST complete and pass the “CE Quiz” that is located at: (look for TITLE of webinar) www.naadac.org/ understandingtheroleofpeerrecoverycoachesintheaddic/onprofession www.naadac.org/webinars A CE cer/ficate will be emailed to you within 21 days of submiYng the quiz and payment (if applicable) – usually sooner. o Successfully passing the “CE Quiz” is the ONLY way to receive a CE cer*ficate. Free to NAADAC Members!

Upload: others

Post on 12-Jun-2020

1 views

Category:

Documents


0 download

TRANSCRIPT

Page 1: Recovery Coach Webinar Slides final · 2019-08-19 · 4/30/14 4 RECOVERY COACH ROLE MOTIVATOR & CHEERLEADER o Believes&in&capacity&for&change& o Mo/vates& o Encourages& o Celebrates&

4/30/14

1

UNDERSTANDING THE ROLE OF PEER RECOVERY COACHES IN THE ADDICTION PROFESSION

Presented by Phil Valentine May 1, 2014

Download the PowerPoint slides & access CE quiz here:

www.naadac.org/understandingtheroleofpeerrecoverycoachesintheaddictionprofession

A  presenta*on  by  the  NAADAC,  the  Associa*on  for  Addic*on  Professionals  

Misti Storie, MS, NCC

WEBINAR ORGANIZER

Director  of  Training  &  Professional  Development  

NAADAC,  the  Associa/on  for  Addic/on  Professionals    

USING GOTOWEBINAR

•  Control  Panel  

•  Asking  Ques:ons  

•  PowerPoint  Slides  

•  Polling  Ques:ons  

•  Audio  (phone  preferred)  

www.naadac.org/understandingtheroleofpeerrecoverycoachesintheaddic/onprofession  

A  presenta*on  by  NAADAC,  the  Associa*on  for  Addic*on  Professionals  

A COMPONENT OF THE RECOVERY TO PRACTICE (RTP) INITIATIVE

www.naadac.org/recovery

OBTAINING CE CREDIT

o  The  educa/on  delivered  in  this  webinar  is  FREE  to  all  professionals.    

o  1.5  CEs  are  FREE  to  NAADAC  members  who  aFend  this  webinar.    Non-­‐members  of  NAADAC  receive  1.5  CEs  for  $20.      

o  If  you  wish  to  receive  CE  credit,  you  MUST  complete  and  pass  the  “CE  Quiz”  that  is  located  at:  (look  for  TITLE  of  webinar)  

www.naadac.org/understandingtheroleofpeerrecoverycoachesintheaddic/onprofession  

www.naadac.org/webinars  

A  CE  cer/ficate  will  be  emailed  to  you  within  21  days  of  submiYng  the  quiz  and  payment  (if  applicable)  –  usually  sooner.  

o  Successfully  passing  the  “CE  Quiz”  is  the  ONLY  way  to  receive  a  CE  cer*ficate.    

Free  to  NAADAC  Members!  

Page 2: Recovery Coach Webinar Slides final · 2019-08-19 · 4/30/14 4 RECOVERY COACH ROLE MOTIVATOR & CHEERLEADER o Believes&in&capacity&for&change& o Mo/vates& o Encourages& o Celebrates&

4/30/14

2

WEBINAR LEARNING OBJECTIVES

o  Define  Peer  Recovery  Coaches  

o  Iden/fy  at  least  3  ethical  considera/ons  

o  List  at  least  3  elements  key  to  a  scope  of  peer  prac/ce  

o  Iden/fy  the  various  posi/ons  on  the  developmental  ladder  for  peer  recovery  coaches  

o  State  at  least  2  supervision  considera/ons  

Phil Valentine

WEBINAR PRESENTER

Execu:ve  Director  

Connec/cut  Community  for  Addic/on  Recovery  (CCAR)  

[email protected]  

FINDINGS FROM NAADAC SITUATIONAL ANALYSIS

www.naadac.org/situational-analysis

FINDINGS FROM SITUATIONAL ANALYSIS

Through  the  Recovery  to  Prac/ce  (RTP)  Ini/a/ve,  NAADAC  was  asked  to  determine  the  extent  to  which  recovery-­‐oriented  concepts,  values,  and  prac/ces  exist  within  all  aspects  of  the  addic/on  profession  in  order  to  develop  a  recovery-­‐oriented  training  curriculum  for  the  workforce.    

FINDINGS FROM SITUATIONAL ANALYSIS

o  understand  recovery-­‐oriented  concepts  

o  u/lize  recovery-­‐oriented  prac/ces  

o  have  recovery-­‐related  opportuni/es  for  educa/on,  training,  literature,  cer/fica/on,  and  licensure  

o  Gaps  s:ll  remain.  

In general, members of the addiction profession:

FINDINGS FROM SITUATIONAL ANALYSIS

o  trauma-­‐informed  care  

o  cultural  diversity    

o  medica/on-­‐assisted  treatment  

o  co-­‐occurring  disorders  

o  role  of  peer  recovery  coaches  

Special attention is needed in these areas:

Page 3: Recovery Coach Webinar Slides final · 2019-08-19 · 4/30/14 4 RECOVERY COACH ROLE MOTIVATOR & CHEERLEADER o Believes&in&capacity&for&change& o Mo/vates& o Encourages& o Celebrates&

4/30/14

3

DEFINING PEER RECOVERY COACHES

DEFINING PEER RECOVERY COACHES

SAMHSA  Service  Defini*on  

o  Peer  Recovery  Coaching  is  a  set  of  nonclinical,  ac/vi/es,  based  on  shared  lived  experience,  that  engage,  educate  and  support  an  individual  to  successfully  recover  from  mental  and/or  substance  use  disorders.  Peer  Recovery  Coaches  act  as  a  recovery  and  empowerment  catalyst:  guiding  the  recovery  process  and  suppor/ng  the  individual’s  recovery  choices,  goals,  and  decisions.  

RECOVERY COACH DEFINITION

From  Connec*cut  Community  for  Addic*on  Recovery:  

A  Recovery  Coach  is  anyone  interested  in  promo/ng  recovery  by  removing  barriers  and  obstacles  to  recovery  by  serving  as  a  personal  guide  and  mentor  for  people  seeking  or  in  recovery.  

RECOVERY COACH DEFINITION

From  William  White:  

A  Recovery  Coach  is  a  person  who  helps  remove  personal  and  environmental  obstacles  to  recovery,  links  the  newly  recovering  person  to  the  recovering  community,  and  serves  as  a  personal  guide  and  mentor  in  the  management  of  personal  and  family  recovery.    Such  supports  are  generated  by  mobilizing  volunteer  resources  within  the  recovery  community,  or  provided  by  the  recovery  coach  where  such  natural  support  networks  are  lacking.    

RECOVERY COACH DEFINITION

From  CCAR  Recovery  Coach  Academy:  

A  Recovery  Coach  is  someone  interested  in  promo/ng  recovery  by  assis/ng  recoverees  to  iden/fy  and  overcome  barriers  to  recovery,  develop  recovery  capital  and  serve  as  a  recovery  guide  and  companion  for  those  seeking  or  sustaining  recovery.    

Page 4: Recovery Coach Webinar Slides final · 2019-08-19 · 4/30/14 4 RECOVERY COACH ROLE MOTIVATOR & CHEERLEADER o Believes&in&capacity&for&change& o Mo/vates& o Encourages& o Celebrates&

4/30/14

4

RECOVERY COACH ROLE

MOTIVATOR & CHEERLEADER

o  Believes  in  capacity  for  change  

o  Mo/vates  

o  Encourages  

o  Celebrates  

Adapted from William White

RECOVERY COACH ROLE

ALLY & CONFIDANT

o  Loyal  

o  Cares  for  Recoveree  

o  Ac/vely  Listens  

o  Trustworthy  

o  Stable  and  Consistent  

Adapted from William White

RECOVERY COACH ROLE

TRUTH TELLER

o  Provides  honest  and  helpful  informa/on  

o  Offers  sugges/ons  

o  Helps  to  iden/fy  paFerns  of  behavior  

o  Does  not  sugar  coat  things  

Adapted from William White

RECOVERY COACH ROLE

ROLE MODEL & MENTOR

o  Offers  their  own  life  as  an  example  of  healthy  living  

o  Shows  how  .  .  .  Walks  the  talk  

o  Provides  stage-­‐appropriate  recovery  informa/on  

Adapted from William White

RECOVERY COACH ROLE

PROBLEM SOLVER

o  Iden/fies  poten/al  problem  areas  

o  Assist  recoveree  to  problem  solve  

o  Does  not  tell  the  person  the  right  way  but  helps  person  with  op/ons  

o  Non-­‐judgmental  

Adapted from William White

RECOVERY COACH ROLE

RESOURCE BROKER

o  Provides  linkages  to  recovery  community,  treatment  and  other  supports  

o  Knows  system  of  care  and  how  to  navigate  the  system  

o  Has  established  contacts  and  recovery  partnerships  in  the  community  

Adapted from William White

Page 5: Recovery Coach Webinar Slides final · 2019-08-19 · 4/30/14 4 RECOVERY COACH ROLE MOTIVATOR & CHEERLEADER o Believes&in&capacity&for&change& o Mo/vates& o Encourages& o Celebrates&

4/30/14

5

RECOVERY COACH ROLE

ADVOCATE

o  “A”  =  Advocate  for  the  recovery  community  

o  “a”  =  Advocate  for  the  recoveree  

o  Assists  recoveree  to  protect  their  rights  

o  Acts  as  a  representa/ve  for  the  recoveree  when  requested  

Adapted from William White

RECOVERY COACH ROLE

COMMUNITY ORGANIZER

o  Helps  establish  support  network  for  recoveree  

o  Serves  as  a  connector  

Adapted from William White

RECOVERY COACH ROLE

LIFESTYLE CONSULTANT

o  Offers  feedback  on  recovery  lifestyle  

o  “How’s  that  working  for  you?”  

o  Focus  on  recovery  and  wellness  

o  Discuss  healthy  choices  

Adapted from William White

RECOVERY COACH ROLE

FRIEND & COMPANION

o  An  equal  

o  Peer-­‐to-­‐peer  

o  Reduced  power  differen/al  

Adapted from William White

DEFINING PEER RECOVERY COACHES

A RECOVERY COACH IS NOT:

o  Sponsor  

o  Counselor  

o  Nurse/Doctor  

o  Clergy  

STAYING IN YOUR LANE: DISTINGUISHING THE

ADDICTION COUNSELOR, RECOVERY COACH AND

SPONSOR

Adapted from the writings of Bill White

Page 6: Recovery Coach Webinar Slides final · 2019-08-19 · 4/30/14 4 RECOVERY COACH ROLE MOTIVATOR & CHEERLEADER o Believes&in&capacity&for&change& o Mo/vates& o Encourages& o Celebrates&

4/30/14

6

o  Contrast  professional  addic/on  counseling,  peer-­‐based  recovery  coaching  and  sponsorship  on  key  characteris/cs  

o  Recognizing  that  these  characteris/cs  exist  on  a  con/nuum  across  organiza/ons  and  groups  that  evolve  over  /me.    

DISTINGUISHING CHARACTERISTICS: STARTING POINTS FOR DISCUSSION

Counselor      

•  Emphasis  on  formal  educa/on  (theory  and  science)  

•  VeFed  by  the  profession  

Recovery  Coach    

•  Emphasis  on  experien/al  knowledge  and  training  

•  VeFed  by  the  community    

Sponsor    

•  Emphasis  on  experien/al  knowledge  

•  VeFed  by  reputa/on  within  a  community  of  recovery  

FOUNDATIONAL KNOWLEDGE

Counselor      

• Works  within  organiza/onal  hierarchy  of  treatment  organiza/on  

• With  direct  supervision  

Recovery  Coach    

•  Organiza/onal  seYngs  span  treatment  organiza/ons,  allied  service  organiza/ons  and  recovery  community  organiza/ons  

•  Varied  degree  of  supervision  

Sponsor    

•  Minimal  hierarchy  

•  No  formal  supervision  

ORGANIZATIONAL CONTEXT

Counselor      

• Works  within  a  par/cular  organiza/onal  treatment  philosophy  

Recovery  Coach    

• Works  across    mul/ple  frameworks  of  recovery  via  choices  of  those  with  whom  they  work  

Sponsor    

• Works  within  beliefs  and  prac/ces  of  a  par/cular  recovery  fellowship  

SERVICE/SUPPORT FRAMEWORK

Counselor      

•  Significant  power  differen/al  

•  Extreme  separa/on  of  helper/helpee  role  

•  Explicit  ethical  guidelines  

•  High  external  accountability    

Recovery  Coach    

•  Minimal  power  differen/al  

•  Ethical  guidelines  being  developed  

•  Moderate  external  accountability  

Sponsor    

•  Minimal  power  differen/al  

•  Support  is  reciprocal  

•  Rela/onship  governed  by  group  conscience  

•  No  external  accountability  

SERVICE/SUPPORT RELATIONSHIP

Counselor      

•  Formal  •  Personally  guarded  

•  Strategic  

Recovery  Coach    

•  Variable  by  organiza/onal  seYng  but  generally  personal  and  informal  

Sponsor    

•  Informal  •  Open  •  Spontaneous  

STYLE OF HELPING

Page 7: Recovery Coach Webinar Slides final · 2019-08-19 · 4/30/14 4 RECOVERY COACH ROLE MOTIVATOR & CHEERLEADER o Believes&in&capacity&for&change& o Mo/vates& o Encourages& o Celebrates&

4/30/14

7

Counselor      

•  Self-­‐disclosure  discouraged  or  prohibited  

Recovery  Coach    

•  Strategic  use  of  one’s  own  story;  role  model  expecta/on  

Sponsor    

•  Strategic  use  of  one’s  own  story  

•  Role  model  expecta/on  

USE OF SELF

Counselor      

•  Considerable  focus  on  past  experience  

Recovery  Coach    

•  Focus  on  present:  

• What  can    you  do  today  to  strengthen  your  recovery?  

Sponsor    

•  Variable  by  fellowship  and  stage  of  recovery  of  sponsee    

TEMPORAL ORIENTATION

Counselor      

•  Brief  and  ever  briefer  

Recovery  Coach    

• Measured  in  months  or  years  (via  sustained  recovery  checkups)  

Sponsor    

•  Variable  but  can  span  years  

DURATION OF SERVICES/SUPPORT RELATIONSHIP

Counselor      

•  Intrapersonal  &  interpersonal  focus  

•  Minimal  focus  on  ecology  of  recovery  

•  Minimal  advocacy  

Recovery  Coach    

•  Focus  on  linking  to  community  resources  and  building  community  recovery  capital  

•  Significant  advocacy  work  

Sponsor    

•  Intrapersonal  &  interpersonal  focus  

•  Minimal  focus  on  ecology  of  recovery  

•  Minimal  advocacy  

ROLE OF COMMUNITY IN RECOVERY

Counselor      

•  Extensive  and  burdensome  

Recovery  Coach    

• Minimal  but  growing  

Sponsor    

• None  

DOCUMENTATION

Counselor      

• Works  as  paid  helper  

•  Client  or  third  party  pays  for  service  

Recovery  Coach    

• Works  in  paid  or  volunteer  role  

•  Service  may  be  paid  for  by  person  being  coached  or  a  third  party  

Sponsor    

•  Provides  support  only  as  part  of  one’s  own  service  work    

•  No  fees  paid  to  sponsor  or  recovery  fellowship  

MONEY

Page 8: Recovery Coach Webinar Slides final · 2019-08-19 · 4/30/14 4 RECOVERY COACH ROLE MOTIVATOR & CHEERLEADER o Believes&in&capacity&for&change& o Mo/vates& o Encourages& o Celebrates&

4/30/14

8

For  more  dis/nguishing  characteris/cs,  see  the  following  at  www.williamwhitepapers.org  

White,  W.  (2006).    Sponsor,  Recovery  Coach,  Addic:on  Counselor:    The  Importance  of  Role  Clarity  and  Role  Integrity.    (Monograph)  Philadelphia,  PA:    Philadelphia  Department  of  Behavioral  Health.    

White,  W.  (2009).    Peer-­‐based  Addic:on  Recovery  Support:    History,  Theory,  Prac:ce,  and  Scien:fic  Evalua:on.    Chicago,  IL:    Great  Lakes  Addic/on  Technology  Transfer  Center  and  Philadelphia  Department  of  Behavioral  Health  and  Mental  Retarda/on  Services.  

DEFINING PEER RECOVERY COACHES

PRIMARY TARGET POPULATION

Individuals  who  have  already  ini/ated  recovery  and  are  seeking  support  for  long-­‐term  recovery  from  addic/on  to  alcohol,  gambling    and/or  other  drugs.    

DEFINING PEER RECOVERY COACHES

Individuals  receiving  this  service  should  see  movement  through  the  stages  of  recovery:  

Stage  1:  Stabiliza/on  

Stage  2:  Deepening  

Stage  3:  Connectedness  

Stage  4:  Integra/on  

Adapted from the work of Kathleen R. O’Connell, RN, MPH, PhD

learning  about  addic/on  

developing  role  models  for  healthy  recovery  

staying  clean  and  sober  

physical  detox  and  stabiliza/on  

learning  to  socialize  in  a  group  seYng  

learning  to  break  the  paFern  of  isola/on  

anxiety  management  

staying  away  from  risky  places,  situa/ons  and  

people  

developing  self-­‐responsibility  

learning  to  ask  for  help  and  support  

Year 1 tasks include:

STAGE ONE: STABILIZATION

increase  in  the  quality  of  physical  

health  increase  in  the  ability  to  tolerate  feelings  

beginning  to  make  dis/nc/ons  between  and  among  feeling  

states  

increase  commitment  to  

working  on  recovery  

iden/fying  old  behaviors  that  don’t  feel  right  anymore  

emo/onal  detox  

changes  in  verbal  aYtude,  feeling  and  

behavior  

Year 2 tasks include:

STAGE TWO: DEEPENING

the  depth  of  joy  and  misery  can  be  profound  

the  need  to  go  back  and  redo  some  earlier  

tasks  in  recovery  

learning  to  avoid  the  crea/on  of  drama  in  

one’s  life  

the  outer  world  of  the  person  is  beginning  to  reflect  the  inner  world  

connec/ons  are  made  to  a  wider  circle  of  people  both  in  and  out  of  recovery  

there  is  an  increase  in  honesty  

Year 3-5 tasks include:

STAGE THREE: CONNECTEDNESS

Page 9: Recovery Coach Webinar Slides final · 2019-08-19 · 4/30/14 4 RECOVERY COACH ROLE MOTIVATOR & CHEERLEADER o Believes&in&capacity&for&change& o Mo/vates& o Encourages& o Celebrates&

4/30/14

9

base  rela/onships  on  love  rather  than  

need  avoid  stuckness   the  automa/c  use  of  

tools  of  recovery  

an  ability  to  act  on  knowledge  and  

insight  and  follow  through  

self-­‐forgiveness   having  fun  and  joy  in  life  

Year 6-10 tasks include:

STAGE FOUR: INTEGRATION

finding  purpose  and  meaning  in  life   becoming  confident   becoming  more  

humble  

understanding  that  you  are  both  precious  and  insignificant    

developing  your  legacy  

allowing  gra/tude  to  penetrate  every  aspect  of  your  life  

Years 10+ tasks include:

STAGE FIVE: MATURATION

DEFINING PEER RECOVERY COACHES

SERVICE SUGGESTIONS

This  service  is  delivered  primarily  face-­‐to-­‐face,  secondarily  by  telephone  or  via  social  media.  Some  places  are  beginning  to  use  a  learning  community  model  as  well.        

Promote  recovery   Remove  barriers  

Connect  recoverees  with  recovery  support  

services  

Encourage  hope,  op/mism  and  healthy  living  

FOUR GOALS OF A RECOVERY COACH

STAGES OF CHANGE: RECOVERY COACH’S

ROLE AND THE ROLE OF THE RECOVEREE

PRECONTEMPLATION TO CONTEMPLATION

Recoveree  Task  

Person  must  decide  to  act  and  commit  to  

change  target  behavior  

Person  must  begin  to  take  preliminary  steps  

towards  making  change  

Ambivalence  around  decisional  balance  is  

resolved  

Coach’s  Role  

To  raise  doubts  and  increase  concern  and  

awareness  around  the  target  behavior  

Develop  hope  and  op/mism  

Page 10: Recovery Coach Webinar Slides final · 2019-08-19 · 4/30/14 4 RECOVERY COACH ROLE MOTIVATOR & CHEERLEADER o Believes&in&capacity&for&change& o Mo/vates& o Encourages& o Celebrates&

4/30/14

10

CONTEMPLATION TO PREPARATION

Recoveree  Task  

Person  must  decide  to  act  and  commit  to  

change  target  behavior  

Person  must  begin  to  take  preliminary  steps  towards  making  change  

Ambivalence  around  decisional  balance  is  resolved  

Coach’s  Role  

To  examine  the  impact  of  the  target  behavior  and  to  

consider  the  pros  and  cons  in  order  to  /p  the  decisional  

balance  in  favor  of  a  commitment  to  change  

PREPARATION TO ACTION

Recoveree  Task  

Person  must  begin  to  set  goals  and  

priori/es  to  achieve  change    

Person  must  begin  to  develop  a  change  plan    

Person  may  not  have  stopped  using  alcohol  and/or  other  drugs  at  this  point.  Change  in  using  behavior  may  not  occur  un/l  

person  reaches  ac/on  stage.  

Coach’s  Role  

To  strengthen  the  commitment  to  change  and  to  develop  an  ac/on  plan  and  strategies  that  facilitate  the  desired  

change.  

ACTION TO MAINTENANCE

Recoveree  Task  

Person  must  apply  behavior  change  methods  and  techniques  for  at  least  6  

months    

Person  con/nues  to  develop  self-­‐efficacy  around  behavior  change  and  con/nually  refines  change  behavior  

Person  must  be  ac/vely  mee/ng  their  recovery  goal  to  be  considered  in  ac/on  

stage.  

Coach’s  Role  

To  support  the  implementa/on  of  the  change  plan,  

modifica/ons  of  the  plan  as  needed  and  development  of  new  

behaviors  and  aYtudes  conducive  

to  change.  

MAINTENANCE

Recoveree  Task  

Develop  rou/nes  

Become  aware  of  the  posi/ves  associated  with  the  change  

Prac/ce  healthy  aYtudes  (gra/tude,  service,  hope,  encouragement,  etc.)  

Coach’s  Role  

Encourage!  

Celebrate!  

Reinforce  posi/ves  

No/ce  the  progress  made  by  the  recoveree  

Focus  on  quality  of  life  issues  

STAFFING REQUIREMENTS

Most  peer  recovery  coaches  will  have  lived  experience  in  recovery  from  addic/on.    Organiza/ons  vary  whether  or  

not  this  is  “required.”  

Recovery  coaching  is  both  art  and  science.      

o  The  “science”  will  require  sufficient  educa/on  and  training.  

o  The  “art”  of  recovery  coaching  draws  on  one’s  experience  and  the  ability  to  ac/vely  listen,  ask  good  ques/ons  and  discover  and  manage  one’s  own  personal  stuff.  

Peer  Recovery  Coaching  can  be  delivered  wherever  individuals  obtain  services  including:  

o  Free-­‐standing  peer  recovery  support  loca/ons  such  as  Recovery  Community  Centers  

o  Facili/es  where  inpa/ent  services  are  provided,  such  as  hospitals,  crisis  centers,  detoxifica/on  units  

o  Facili/es  where  outpa/ent  treatment  services  are  provided,  such  as  clinics,  psychosocial  rehabilita/on  center,  treatment  centers,  etc.  

o  Some  preliminary  planning  sessions  in  CT  are  talking  about  Recovery  Coaches  in  nursing  homes  and  emergency  departments  

SETTINGS

Page 11: Recovery Coach Webinar Slides final · 2019-08-19 · 4/30/14 4 RECOVERY COACH ROLE MOTIVATOR & CHEERLEADER o Believes&in&capacity&for&change& o Mo/vates& o Encourages& o Celebrates&

4/30/14

11

SETTINGS

Peer  Recovery  Coaching  can  be  delivered  wherever  individuals  obtain  services  including:  

o  Primary  care  seYngs  as  well  as  emergency  rooms,  health  homes  

o  Natural  community  seYngs  where  mobile  services  may  appropriately  meet  the  individual,  such  as  coffee  shops  or  a  person’s  home,  library,  prison/jail,  forensic  facili/es,  college  seYngs  or  job  site  

o  Other  community  and  faith-­‐based  seYngs  

o  Telephonic  and  other  electronic  communica/on  

DOCUMENTATION

o  There  is  a  lot  of  discussion  as  to  what  documenta/on  may  be  required  and  will  be  dependent  on  where  the  recovery  coach  service  is  delivered.      

o  In  many  cases,  Recovery  Plans  are  kept  by  the  individual  receiving  the  support,  NOT  by  the  peer  recovery  coach  or  the  organiza/on  providing  the  service.  

REIMBURSEMENT INFORMATION

o  Medicaid  

o  Managed  care  

o  Recovery  Community  Services  Program  

o  Substance  Abuse  Preven/on  and  Treatment  Block  Grant  

o  Access  to  Recovery  grant  program  

o  State,  county,  and  local  funding  

o  Other  sources  (TANF,  drug  court  funds,  &  private  funding)  

States  are  using  a  variety  of  funding  streams  for  peer  workforce  development,  including:  

VOLUNTEERISM – GIVING BACK

Reciprocal  Benefit  (Win-­‐Win):    

o  Peer  recovery  coaches,  par/cularly  those  serving  in  this  capacity  as  volunteers,  are  also  quite  explicit  in  what  they  get  out  of  this  service  process.    

o  “I  feel  I  am  giving  back  by  helping  assist  others  in  their  recovery  process.  By  prac:cing  what  I  preach,  I  am  able  to  build  and  nurture  areas  of  spiritual  growth  in  my  life.  I  am  able  to  maintain  a  sense  of  integrity  and  character.  Working  as  a  [peer]  recovery  coach  has  helped  me  evaluate  strengths  and  weaknesses  and  improve  my  listening  skills.  I  feel  trusted  and  valued  as  a  mentor  when  people  allow  me  to  help  them  reach  their  goals.  I  feel  special.”  

BIG QUESTIONS Big  Ques*on  #1  

•  How  are  Recovery  Coaches  “supervised”?    “every  coach  needs  a  coach,”  groups  

Big  Ques*on  #2  •  How  do  we  measure  outcomes?    “keep  the  bureaucracy  to  a  minimum  yet  assure  accountability  and  quality”    

Big  Ques*on  #3  •  How  will  recovery  coaching  services  be  funded?    

RECOVERY COACHING – BIG QUESTIONS

Page 12: Recovery Coach Webinar Slides final · 2019-08-19 · 4/30/14 4 RECOVERY COACH ROLE MOTIVATOR & CHEERLEADER o Believes&in&capacity&for&change& o Mo/vates& o Encourages& o Celebrates&

4/30/14

12

DEBUNKING MYTHS

MYTH: “THEY ARE COMPETITION”

FACT:  Peer  work  is  dis/nct  and  separate  from  professionally  delivered  clinical  treatment.    

Peer  workers  are  viewed  as  a  vital,  unique,  and  autonomous  component  of  the  addic/ons  service  workforce,  and  the  essen/al  quali/es  that  they  bring  are  valued  as  transforma/ve,  rather  than  merely  addi/ve.  

o  Some  peer  recovery  coaches  serve  as  volunteers  while  also  working  at  a  paying  job.    

o  Some  volunteer  for  a  limited  /me  period  as  a  way  of  strengthening  their  own  recovery.    

o  Some  become  cer/fied  for  personal  reasons  or  as  a  requirement  of  the  seYng  they  work  in.    

MYTH: “THEY ARE COMPETITION”

o  Some  peer  recovery  coaches  opt  to  work  as  a  volunteer  “giving  back”  as  a  component  of  their  own  recovery.    

o  This  trend  of  peer  recovery  coaches  serving  as  volunteers  is  evolving  as  the  field  broadens  and  more  opportuni/es  for  people  to  pursue  careers  as  recovery  coaches  emerge.      

o  As  more  peer  recovery  coaches  seek  paid  employment  there  will  need  to  be  a  track  for  training  and  creden/aling  for  them.  

MYTH: “THEY ARE TAKING OUR JOBS”

AUDIENCE POLLING QUESTION

Do you feel peer recovery coaches should have personal experience with addiction

recovery?

MYTH: “HAVE TO BE IN RECOVERY TO BE A PEER RECOVERY COACH”

FACT:  Peer  recovery  coaching  is  mostly  provided  by  individuals  with  personal  recovery  experience  but  you  don’t  have  to  be  in  recovery  to  be  a  peer  recovery  coach.  There  are  many  factors  that  determine  “peerness”.        

•  And  even  though  peer  support  is  based  on  the  belief  that  people  who  have  faced,  endured  and  overcome  adversity  can  offer  useful  support,  encouragement,  hope  and  perhaps  mentorship  to  others  facing  similar  situa/ons.  

•  Who  determines  if  a  person  has  personal  recovery  experience?  

•  What  about  family  members?    

Page 13: Recovery Coach Webinar Slides final · 2019-08-19 · 4/30/14 4 RECOVERY COACH ROLE MOTIVATOR & CHEERLEADER o Believes&in&capacity&for&change& o Mo/vates& o Encourages& o Celebrates&

4/30/14

13

AUDIENCE POLLING QUESTION

Do you feel the ethics guidelines for addiction counselors should be the same for peer

recovery coaches?

MYTH: “PEER RECOVERY COACHES ARE NOT BOUND TO A CODE OF ETHICS”

FACT:  Individual  programs  have  developed  ethical  guidelines  for  peer  recovery  coaching.    However,  no  na/onal  code  of  ethics  exists  at  this  /me.    

 Peer  ethics  are  codes  and  guidelines  that  are  developed  in  a  peer  context  and  incorporated  in  peer  and  community  seYngs.    Peer  ethics  are  fundamental  to  all  levels  of  policy,  prac/ce,  and  program  development.  

AUDIENCE POLLING QUESTION

Do you feel that supervision should be the same for addiction counselors and peer

recovery coaches?

MYTH: “THEY ARE NOT SUBJECT TO SUPERVISION”

FACT:  Every  coach  needs  a  coach.    Peer-­‐run  recovery  community  organiza/ons  have  established  peer-­‐to-­‐peer  supervision  models.  

To  be  most  effec/ve,  peer  workers  will  be  guaranteed  regularly  scheduled  supervision  that  is  non-­‐clinical,  facilitated  by  a  qualified  and  trained  peer  supervisor  (some  places  referring  to  this  role  as  a  Master  Coach.    

Peer  recovery  coaches  should  not  receive  “clinical”  supervision  

o  Peer  recovery  coaches  are  doing  non-­‐clinical  work  

o  While  peers  may  need  administra/ve  supervision  to  help  them  manage  the  demands  of  the  workplace  (e.g.,  recordkeeping,  work  schedule),  they  also  need  supervision  from  senior,  experienced  peers/coaches  who  can  teach  and  reinforce  cri/cal  competencies  and  help  with  problem  solving.    

o  A  peer  supervisor  can  also  share  experience,  strengths,  and  hope  when  the  job  seems  overwhelming.  

MYTH: “THEY ARE NOT SUBJECT TO SUPERVISION”

ü  Supervision  can  be  viewed  as  a  peer-­‐to-­‐peer  “coaching”  model  within  itself  

ü  Peer-­‐to-­‐peer  supervision  and/or  co-­‐supervision  in  individual  and  group  format  are  accepted  models  

ü  Peer  supervisors  should  have  experience  providing  peer  recovery  coaching  

ü  Ideally,  peer  supervisors  will  have  completed  a  peer  recovery  coach  training  program  

MYTH: “THEY ARE NOT SUBJECT TO SUPERVISION”

Page 14: Recovery Coach Webinar Slides final · 2019-08-19 · 4/30/14 4 RECOVERY COACH ROLE MOTIVATOR & CHEERLEADER o Believes&in&capacity&for&change& o Mo/vates& o Encourages& o Celebrates&

4/30/14

14

MYTH: “ITS DEPROFESSIONALIZING THE ADDICTION PROFESSION”

FACT:    

Peer  recovery  coaches  respect  and  value  the  role  of  professional  treatment  in  the  recovery  process  and  in  a  recovery-­‐oriented  system  of  care.  

PEER RECOVERY COACHES BENEFITING

THE ADDICTION PROFESSION

PEER RECOVERY COACHES IN HISTORY

The addiction profession has a strong foundation of peer involvement. In fact, the earliest addiction professionals were the first peer recovery coaches informed by Alcoholics Anonymous.

Webinar  #3  in  RTP  Series:    The  History  of  Recovery  in  the  United  States  and  the  Addic:on  Profession  

www.naadac.org/webinars  

BENEFITS TO THE ADDICTION PROFESSION

Evidence  suggests  that  peer  support  and  peer  recovery  coaching  .  .  .  

o  Reduces  use  of  acute  services  (e.g.,  emergency  rooms,  detoxifica/on  centers)  

o  Increases  engagement  in  outpa/ent  treatment  

o  Increases  ac/ve  involvement  in  care  planning  and  self-­‐care  

o  Reduces  average  service  costs  per  person  

PEER RECOVERY COACH RESEARCH

More research on recovery and peer involvement is outlined in this webinar:

Webinar  #2  in  RTP  Series:    What  Does  Science  Say?  Reviewing  Recovery  Research  

www.naadac.org/webinars  

SUPPORT FOR A FULL CONTINUUM OF CARE

o  In  a  recovery-­‐oriented  system  of  care,  treatment  is  one  component  in  a  larger  paradigm  of  recovery  

Page 15: Recovery Coach Webinar Slides final · 2019-08-19 · 4/30/14 4 RECOVERY COACH ROLE MOTIVATOR & CHEERLEADER o Believes&in&capacity&for&change& o Mo/vates& o Encourages& o Celebrates&

4/30/14

15

Recovery Community

Treatment Community

Historical context...

SUPPORT FOR A FULL CONTINUUM OF CARE

o  Peer-­‐based  recovery  support  services  can  cons/tute  an  adjunct  to  addic/on  treatment  (for  those  with  high  problem  severity  and  low  recovery  capital)  or  an  alterna/ve  to  addic/on  treatment  (for  those  with  low  or  moderate  problem  severity  and  moderate  or  high  recovery  capital).    

o  This  requires  considerable  vigilance  in  determining  service  needs  and  providing  services  only  within  the  boundaries  of  one’s  competence,  and  skill  in  making  necessary  referrals  in  a  /mely  manner.  

SUPPORT FOR A FULL CONTINUUM OF CARE

o  Many  see  the  implementa/on  of  peer  support  services  and  peer  recovery  coaching  as  viable  alterna/ves  to  more  expensive  specialty  addic/on  treatment.    

o  The  challenge  is  to  ensure  that  decision  makers  are  aware  of  and  support  a  con/nuum  of  care  which  is  holis/c  and  accessible  to  individuals  with  substance  use  disorders,  spanning  from  use  to  dependency  and  addic/on.    

SUPPORT FOR A FULL CONTINUUM OF CARE

o  To  be  effec/ve  across  this  spectrum  of  disorders,  services  much  be  supported  and  include  educa/on,  assessment,  early  interven/on,  treatment,  and  long-­‐term  recovery  supports  across  the  life  span  of  individuals  to  produce  a  community  focused  on  health  and  well-­‐being  for  all  who  reside  there.  

THANK YOU!

ASKING QUESTIONS

Ask questions through the Questions Pane

Page 16: Recovery Coach Webinar Slides final · 2019-08-19 · 4/30/14 4 RECOVERY COACH ROLE MOTIVATOR & CHEERLEADER o Believes&in&capacity&for&change& o Mo/vates& o Encourages& o Celebrates&

4/30/14

16

OTHER RTP WEBINARS

www.naadac.org/webinars    

Defining  Addic*on  Recovery  •  Thursday,  January  9,  2014  @  3-­‐4:30pm  ET  

What  Does  Science  Say?  Reviewing  Recovery  Research  •  Wednesday,  February  5,  2014  @  3-­‐5pm  ET  

The  History  of  Recovery  in  the  United  States  and  the  Addic*on  Profession  •  Thursday,  March  6,  2013  @  3-­‐4:30pm  ET  

Defining  Recovery-­‐Oriented  Systems  of  Care  (ROSC)  •  Thursday,  April  3,  2014  @  3-­‐4:30pm  ET  

Understanding  the  Role  of  Peer  Recovery  Coaches  in  the  Addic*on  Profession  •  Thursday,  May  1,  2014  @  3-­‐4:30pm  ET  

Including  Family  and  Community  in  the  Recovery  Process  •  Thursday,  May  29,  2014  @  3-­‐5pm  ET  

Collabora*ng  with  Other  Professions,  Professionals,  and  Communi*es  •  Thursday,  June  26,  2014  @  3-­‐4:30pm  ET  

Using  Recovery-­‐Oriented  Principles  in  Addic*on  Counseling  Prac*ce  •  Thursday,  July  24,  2014  @  3-­‐5pm  ET  

Exploring  Techniques  to  Support  Long-­‐Term  Addic*on  Recovery  for  Clients  and  Families  •  Thursday,  August  21,  2014  @  3-­‐5pm  ET  

WEBINARS ON DEMAND

•  Medica:on  Assisted  Treatment  •  Building  Your  Business  with  SAP/DOT  •  SBIRT  •  Billing  and  Claim  Submission  •  Ethics  •  Co-­‐occurring  Disorders  •  Test-­‐Taking  Strategies  •  Conflict  Resolu:on  •  Clinical  Supervision  •  ASAM  Placement  Criteria  •  DSM-­‐5  Proposed  Changes  

www.naadac.org/webinars  

CE  credit  s:ll  available!  

Free  to  NAADAC  Members!    

WWW.NAADAC.ORG OBTAINING CE CREDIT

o  The  educa/on  delivered  in  this  webinar  is  FREE  to  all  professionals.    

o  1.5  CEs  are  FREE  to  NAADAC  members  who  aFend  this  webinar.    Non-­‐members  of  NAADAC  receive  1.5  CEs  for  $20.      

o  If  you  wish  to  receive  CE  credit,  you  MUST  complete  and  pass  the  “CE  Quiz”  that  is  located  at:  (look  for  TITLE  of  webinar)  

www.naadac.org/understandingtheroleofpeerrecoverycoachesintheaddic/onprofession  

www.naadac.org/webinars  

A  CE  cer/ficate  will  be  emailed  to  you  within  21  days  of  submiYng  the  quiz  and  payment  (if  applicable)  –  usually  sooner.  

o  Successfully  passing  the  “CE  Quiz”  is  the  ONLY  way  to  receive  a  CE  cer*ficate.    

Free  to  NAADAC  Members!  

Phil  Valen*ne  -­‐  [email protected]  

h`p://ccar.us  

Follow  CCAR  on  Facebook!  

Thank  You  for  Par*cipa*ng!  

www.naadac.org/recovery    

NAADAC,  The  Associa*on  for  Addic*on  Professionals  1001  N.  Fairfax  St.  Suite  201  Alexandria,  VA  22314  p  800.548.0497  f  800.377.1136  

NAADACorg    

Naadac    

mis/@naadac.org    

NAADAC